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Organization
KD HEALTHCARE LLC
Active
Organization
KD HEALTHCARE LLC
Active
Parent organization
KD HEALTHCARE LLC
Other names
White Rock Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
KD HEALTHCARE LLC
Authorized official
DR. JEREMY R BUCKNER D.C. (OWNER)
(602) 421-2730
Entity
Organization
Contact information
Practice address
1001 E WARNER RD, SUITE 107, TEMPE, AZ 85284-3224
(480) 897-3300
(480) 897-3312
Mailing address
1001 E WARNER RD, SUITE 107, TEMPE, AZ 85284-3224
(480) 897-3300
(480) 897-3312
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
NULL
364SF0001X
Family Health Clinical Nurse Specialist
—
—
Other
Enumeration date
11/13/2013
Last updated
06/22/2015
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